Martinez Toro, Jose
Martinez Toro, Jose was paid $412K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is 93458, — 75% of everything it billed.
33Billing provider infoMARTINEZ TORO, JOSE
SAN JUAN, PR 00918
SAN JUAN, PR 00918
33aNPI1023096112assigned 01/09/2006
33bProvider typeSpecialist
28Total paid$412K
24GClaims3,357
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#51 of 316
Median peer was paid$26K
This provider vs. median16×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 562 | $112K | |
| 2019 | 462 | $100K | |
| 2020 | 260 | $14K | |
| 2021 | 426 | $32K | |
| 2022 | 456 | $40K | |
| 2023 | 696 | $58K | |
| 2024incomplete | 495 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93458 | 75% | 630 | 457 | $311K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 24% | 2,611 | 1,747 | $100K |
| 93000 | <1% | 116 | 46 | $1K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.